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ADHD Chatter Podcast7 Newly Discovered Types Of ADHD (After 300,000 brain scans!)
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At a glance
WHAT IT’S REALLY ABOUT
Seven ADHD subtypes, rejection pain, and why treatment responses differ
- Dr. Daniel Amen explains why he believes ADHD/ADD should be understood as multiple subtypes, based on patterns he says he observes from brain imaging plus clinical assessment.
- He argues the term “ADHD” can mislead the public and contribute to missed diagnoses in people who aren’t outwardly hyperactive, especially females, with downstream impacts on self-esteem.
- The conversation explores rejection sensitivity, loneliness, and how negative feedback can train threat-focused emotional responses, including catastrophizing that can feel physically painful.
- Amen describes seven subtype patterns and claims stimulant medication can help some types but worsen others, emphasizing that treatment planning should integrate scans, history, and testing.
- They discuss common coping mistakes (e.g., alcohol, marijuana, video games), lifestyle interventions (diet, exercise, sunlight, reducing devices), and emotional aftermath such as grief and forgiveness after diagnosis.
IDEAS WORTH REMEMBERING
5 ideasADHD/ADD isn’t “one thing”; different brain patterns can sit under the same label.
He describes seeing multiple scan patterns: some people show decreased frontal activity during focus, while others appear over-focused, overactive, or impacted by trauma—so treating everyone as though they have the same underlying issue can misfire.
The name “ADHD” can contribute to under-recognition of inattentive presentations, especially in females.
He argues the label “ADHD” can miss people—especially females—who aren’t outwardly hyperactive, leading to misinterpretations like being “not smart,” “not interested,” “depressed,” or “anxious,” rather than recognizing attentional issues.
Chronic negative feedback can condition a rejection-sensitive, threat-scanning mindset.
He says repeated criticism and negative feedback can heighten the emotional brain and train people to spot threat faster; he mentions their testing suggests many recognize negative facial expressions faster than positive ones.
Catastrophizing can turn emotional triggers into physical suffering, and he emphasizes structured thought-challenging to interrupt it.
He links intense rejection pain to “automatic negative thoughts” that cascade, and describes a practice he calls “killing the ANTs” by writing thoughts down and repeatedly challenging them until the brain learns the habit.
Medication response may depend heavily on subtype; stimulants can help some and harm others.
He outlines seven scan-linked patterns and says stimulants often help the “classic” and “inattentive” types but can worsen others—e.g., increasing obsessiveness, rebounding into depression, provoking hallucinations in temporal-lobe issues, worsening “ring of fire,” or increasing anxiety.
WORDS WORTH SAVING
5 quotesIf you don't look, you don't know.
— Dr. Daniel Amen
People who need glasses aren't dumb, crazy, or stupid. Their eyeballs are shaped funny, and they wear glasses to focus. People who have A- ADD are not dumb, crazy, or stupid.
— Dr. Daniel Amen
When you love your brain, you start making better decisions for it, um, from what you eat to how much you sleep.
— Dr. Daniel Amen
I'm like, "I am not stuck with the brain I have. I can make it better," which is totally hope, and there are lots of ways to make it better.
— Dr. Daniel Amen
It's like having 30 tabs open in your head all at once, and even deciding where to start can feel overwhelming.
— Alex Partridge
SPEAKERS
Alex Partridge
hostPodcast host of ADHD Chatter who interviews experts and shares personal experiences with ADHD.
Dr. Daniel Amen
guestPsychiatrist and child psychiatrist known for brain-imaging-based ADHD subtype frameworks and related books/clinics.
High quality AI-generated summary created from speaker-labeled transcript.